Which of the following is NOT typically associated with stimulant use disorder?

• A. Psychosis
• B. Suicidal ideation
• C. Choreiform movements
• D. Diabetic ketoacidosis

Answer: (D)

Stimulant use disorder often leads to neuropsychiatric and motor symptoms because these drugs increase dopamine and other catecholamines in the brain. Psychosis can result from this dopaminergic overactivity, producing paranoia, delusions, and hallucinations. Suicidal ideation can occur in the context of mood disturbances, depressive crashes, or withdrawal. Movement abnormalities like choreiform movements can arise from dopaminergic effects on the basal ganglia, leading to involuntary, dance-like movements.

Diabetic ketoacidosis, however, is a metabolic emergency caused by severe insulin deficiency and uncontrolled hyperglycemia with acidosis. It is not a typical consequence of stimulant use disorder, so it is not commonly associated with these conditions. If DKA is present, it points more toward an underlying diabetes-related issue rather than stimulant-induced pathology.